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Chronic pain in neck, fatigue, joint pain after accident.

Resolved Question:

For two years old patientmy health has been going downhill, it all started after a road incident in which a driver who wasn't paying attention hit me from behind when I was sat in stationary traffic and wrote 3 cars off, including mine.

Since then I've had a number of health issues and no answers from various doctors. I am very frustrated and desperate for help or another opinion.

Symptoms:
Chronic pain in neck,
Fatigue (irresistible urges to sleep, tire easily)
joint pain (knees, ankles, hips especially),
Recurrent, long viral illnesses every few months,
weight gain and bloating,
'slow emptying' stomach/ feeling of fullness,
feeling generally unwell,
Persistent feeling of being hot.


Tried:
Over 30 physiotherapy appointments,
Blood tests (only came back with mild vitamin D deficiency),
Medications (naproxen, omeprazole, amitriptyline, paracetamol, ranitidine, cocodamol. Currently only taking amitriptyline since stomach problem doc stopped my prescriptions for other medications)
Gastroscopy looking for cause of stomach pain found slow emptying stomach but no evidence of ulcer (stomach pain went when I stopped taking medications),
Acupuncture and reflexology (complementary therapies),
seen a few different Doctors for opinions including referrals to consultant and senior physio practitioner.
Pacing - only completing tasks for minutes at a time to reduce pain reaction to activity.

Even tried CBT because they were telling me it was perhaps stress/depression related. I completed CBT as asked, but I learnt the only thing I'm a bit down about is my health.

Further advice received today:
Skip evening meals and consider doing the 5:2 diet to lose weight gained since health problems started and pursue private treatment for neck pain.


Category: Neurologist, Medical

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Category: Pediatric Neurologist
Dr. Sudhir Kumar is online now

Expert:  Dr. Sudhir Kumar replied 4 Days.

Hi,
Thank you for posting your query at DoctorSpring.com
I have noted your symptoms and it is unfortunate that you continue to suffer for almost two years old patientdespite seeing multiple doctors. Also, a diagnosis has not been made so far.
Since it started after an accident, we should exclude a spinal cord injury or a brain concussion. If MRI of brain and cervical spine have not been done, please get them done.
Also, nerve conduction studies of all four limbs should be done to exclude a neuropathy.
In view of repeated infection, we should also exclude immunodeficiency causing low immunity. Immunoglobulin levels in blood can be checked.
If all above tests come normal, we should consider a diagnosis of chronic fatigue syndrome/fibromyalgia.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist


Dr. Sudhir Kumar
Category: Pediatric Neurologist
Experience: 
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

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